Organization Name: | CAREWELL URGENT CARE CENTERS OF MA, P.C |
NPI Number: | 1043648876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M CORNWELL (MEDICAL DIRECTOR) |
Mailing Address: | 229 Andover St Peabody |
State: | MA US |
Postal Code: | 019601539 |
Phone Number: | 9788265950 |
Fax Number: | 9788265951 |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |